# Nutritional intervention alleviates T cell exhaustion and empowers anti-tumor immunity

**Authors:** Yuqi Xu, Wenhui Yuan, Ke Li, Peng Li

PMC · DOI: 10.3389/fimmu.2025.1689317 · Frontiers in Immunology · 2025-12-19

## TL;DR

This paper reviews how improving T cell metabolism through nutrition can help reverse T cell exhaustion and boost cancer immunotherapy.

## Contribution

The paper introduces nutritional strategies as a novel approach to enhance T cell function and complement existing immunotherapies.

## Key findings

- T cell exhaustion can be alleviated through immune checkpoint blockade.
- Nutritional interventions can restore T cell activity by improving metabolic fitness.
- Metabolic pathways play a key role in shaping T cell fate and function.

## Abstract

T cells are central mediators of adaptive immunity, playing a pivotal role in eliminating pathogens and tumor cells. In the context of chronic infections and cancer, however, persistent antigenic stimulation drives T cells into a state of exhaustion characterized by diminished effector function, sustained expression of inhibitory receptors, and profound metabolic reprogramming. Emerging evidence indicates that T cell exhaustion is not irreversible and can be alleviated through immune checkpoint blockade, such as targeting PD-1. Moreover, increasing attention has been directed toward the role of intracellular metabolic pathways in shaping T cell fate and function. Strategies aimed at enhancing nutrient availability and metabolic fitness offer an additional avenue to restore T cell activity. This review highlights recent advances in reversing T cell exhaustion through immune checkpoint inhibitors and nutritional interventions, providing novel insights into the precision and personalization of cancer immunotherapy.

## Linked entities

- **Proteins:** PDCD1 (programmed cell death 1)

## Full-text entities

- **Genes:** PDCD1 (programmed cell death 1) [NCBI Gene 5133] {aka ADMIO4, AIMTBS, CD279, PD-1, PD1, SLEB2}
- **Diseases:** infections (MESH:D007239), cancer (MESH:D009369)

## Full text

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## Figures

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## References

149 references — full list in the complete paper: https://tomesphere.com/paper/PMC12757304/full.md

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Source: https://tomesphere.com/paper/PMC12757304